General Liability Claim Investigator

The Doctors Company; New York (NY); Hybrid; USD 77,000 - 96,000; Full time

Job summary

An established industry player is on the lookout for a General Liability Investigator to join their dynamic claims team. This hybrid role, based in New York City, involves conducting thorough investigations into adverse events at member institutions. The ideal candidate will have a strong background in claims management and investigative processes, ensuring high-quality outcomes through collaboration and attention to detail. With competitive compensation and a comprehensive benefits package, this role offers a unique opportunity to make a significant impact in the healthcare sector while enjoying a supportive work environment.

Benefits

Health, dental, and vision insurance

401(k) and Roth IRA with company match

Paid vacation and sick days

11 paid holidays each year

Life and travel insurance

Tax-free commuter benefits

In-person and online learning opportunities

Business casual work environment

Time off to volunteer

Matching donations to nonprofit organizations

Qualifications

• 3-5 years of investigative or claims experience required.
• Bachelor's degree preferred for this role.

Responsibilities

• Conduct investigations and report findings as per guidelines.
• Collaborate with Claims Specialist throughout the case lifecycle.
• Maintain accurate records and assist with various projects.

Skills

Investigative Skills

Claims Management

Communication Skills

Analytical Skills

Interpersonal Skills

Education

Bachelor’s degree

Job description

Healthcare Risk Advisors is seeking a General Liability Investigator to join our claims team. This is a hybrid opportunity located at our New York City office and requires travel within Brooklyn, Queens, and Nassau Counties.

This position is the primary investigator of adverse events and occurrences at the institutions insured through HRA’s Insurance Program. The General Liability Investigator (GLI) assists in the defense of general liability lawsuits (actual and potential) and facilitates in the claim management process; conducts field investigations at member hospitals and agencies, reviews medical records, interviews key witnesses, assesses damages and liability, and identifies issues.

Qualifications

• Bachelor’s degree preferred.
• 3-5 years of investigative or claims experience.
• Ability to travel.

Responsibilities

Service/Support Delivery

• Acknowledge receipt of assignment
• Perform investigation as required by guidelines
• Report on investigation as required by guidelines
• Escalate internally and externally as appropriate
• Provide high-quality, comprehensive work product that facilitates efficient/effective downstream workflow.
• Collaborate with Claims Specialist throughout the life of the case.

Claims Guidelines

• Maintain a broad-based understanding of the company standards and guidelines
• Articulate the guidelines to both internal and outside customers as necessary
• Seek to actively meet the expected standards and guidelines in all phases of their work product
• Use appropriate judgment in applying guidelines to achieve the desired outcome.

Report and Data Maintenance

• Enter accurate information and maintain the accuracy of the information entered
• Provide informative and accurate memos that are grammatically correct when finalizing discovery requests, investigative reports, and data into relevant database as related to position
• Complete discovery requests, investigation reports and secure evidence on all new claims, as appropriate to position in an efficient and timely manner.

Internal/External Customer Collaboration & Support

• Support Claims leadership in opportunities to advance collaboration with our internal/external clients.
• Support Claims leadership in developing an understanding of the business environment of our internal/external clients.
• Support Claims leadership in achieving success when working with internal partners and clients.
• Network with peers across departmental lines to improve service, support, and retention of our clients.

Technical Knowledge and Professional Development

• Complete any training required to maintain or advance the skills set necessary to achieve professional, department, or company goals.

Other Duties As Assigned

• Assist with a variety of department and company-wide projects.
• Make oneself available for any and all duties.
• Accept delegated tasks readily and complete assigned duties as directed.

Salary Range: $77,706- $95,990

Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay.

Benefits

Healthcare Risk Advisors offers competitive compensation, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:

• Health, dental, and vision insurance
• Health and dependent care tax-free spending accounts with a company match
• 401(k) and Roth IRA with company match, as well as catch-up plans for both
• Paid vacation, sick days, and personal days each calendar year (with vacation increases based on length of service)
• 11 paid holidays each calendar year
• Life and travel insurance
• Tax-free commuter benefits
• In-person and online learning opportunities
• Cross-function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company-sponsored participation at non-profit events